| NPI | 1174171391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: NY 773992) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 773992) |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |